Individual provider · Type 1 NPI

Ejon Lee Mannil

Student in an Organized Health Care Education/Training Program · Alhambra, CA

NPI number 1316786973 Active

Practice location

1000 S. Fremont Ave., Unit 7, Bldg. A10, Ste. N10100, Rm 11150
Alhambra, CA 91803

Mailing address

20970 Rambling Rd.
Apple Valley, CA 92308

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316786973

Ejon Lee Mannil's National Provider Identifier is 1316786973, issued on May 23, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Alhambra, CA. The record was last updated on May 23, 2024.